If yu aks wetin na di ɔgan we impɔtant pas ɔl na wi bɔdi, bɔku pipul dɛn lɛk yu go se "di at." No wɔnda. Bikɔs di at na wɔndaful mashin we de wok nɔ stɔp, we nɔ gɛt wan sɛkɔn fɔ rɛst, frɔm di de we dɛn bɔn wi. So fɔ mek di at ebul fɔ wok nɔ stɔp, i nid fɔ gɛt gud blɔd, dat na ɔksijɛn ɛn it, nɔto so? Wel, tide wi go tok abaut somtin we rili impotant we de helep wit dat, bot wi no de tok abaut am plenti fo wi evride laif.
Wetin na Koronari Pɛrfyushɔn Prɛshɔn?
Dis nem kin tan lɛk se i kɔmplikt smɔl. Bɔt lɛ wi kip am simpul. Tink bɔt wan paip sistem we de briŋ wata kam na yu os. Fɔ mek wata kɔmɔt na di wata tank go na di kichin ɛn batrum, sɔm prɛshɔn nid fɔ de, dat na fɔ trɔs, nɔto so? If di prɛshɔn nɔ go du, di wata go flɔ sloslo, ɔ ivin stɔp fɔ flɔ atɔl.
Na so i bi wit wi at. Pan ɔl we di at de pɔmp blɔd to wi wan ol bɔdi, di at mɔsul dɛn bak nid blɔd fɔ mek i wok. Dis blɔd de go to di at tru wan spɛshal sistɛm we de na di blɔd vesel dɛn we dɛn kɔl di korona at . So, Koronari Pεrfyushכn Prεshכn (CPP) na jכs di prεshכn we dεn nid fכ push bכdi tru di korona at dεm insay di at mכsul dεm. In ɔda wɔd, dis prɛshɔn de sho if di at go gɛt di ɔksijɛn ɛn di tin dɛn we i nid.
Di at de yuz mɔ ɔksijɛn pas ɛni ɔda pat na wi bɔdi. dat min se di at nכmכ de yuz bitwin 70% εn 80% pan di כksijεn we de insay di bכdi we de fכlכ tru di korona at dεm. So imajin aw bɔku ɔksijɛn i nid! Na dat mek i impɔtant fɔ mek dɛn kɔntinyu fɔ gɛt dis CPP prɛshɔn ɛksaktɔli.
Wetin mek dis prɛshɔn rili impɔtant?
fכ mεnten di hεlty lεvεl fכ CPP implεnt fכ di at fכ wok. Bɔku rizin dɛn de fɔ dis.
- Fɔ gi di at ɛnaji: Di at nid fɔ de bit ɔltɛm. Dis kin nid bɔku trɛnk. Da ɛnaji de kɔmɔt frɔm ɔksijɛn. CPP de mek sכh se di at mכsul gεt inof כksijεn.
- Fɔ ajɔst to di chenj we yu nid: Imajin se yu de klaym stej, yu de du ɛksɛsayz, ɔ yu de wɔri smɔl. Sɔntɛnde lɛk dɛn tɛm ya, yu at kin bit fast fast, nɔto so? Dat min se yu at nid mɔ ɔksijɛn pas aw i kin bi. Dɛn tɛm dɛn de, fɔ mit di ɔksijɛn we de bɔku, dis CPP nid fɔ jɔs rayt.
- I kin afɛkt di wan ol bɔdi: If di at nɔ de wok fayn, i kin afɛkt di wan ol bɔdi. Na bikɔs di at de pɔmp blɔd to di bren, kidni, liva, ɛn ɔl dɛn tin ya. So if di at nɔ gɛt bɛtɛ blɔd, i kin afɛkt di we aw ɔda pat dɛn de wok.
Fɔ tɔk strikt wan, CPP na impɔtant tin fɔ sho if di at wɛl. Bɔt, i nɔto sɔntin we wi kin mɛzhɔ ɔltɛm lɛk aw wi kin mɛzhɔ blɔd prɛshɔn.
Us kayn sik kin kam if prɔblɛm de wit dis CPP?
If di Korona Pεrfyushכn Prεshכn dכn dכn dכn dכn, i min se di at mכsul nכ de gεt inof כksijεn. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis sik Myocardial Ischemia .
Fɔ tɔk am simpul wan, i tan lɛk se di at sɛl dɛn de gɛt prɔblɛm fɔ "brid." If dis tin kin te fɔ pas sɔm minit, di at mɔsul sɛl dɛn kin bigin fɔ day we dɛn nɔ gɛt ɔksijɛn. Na dat wi kin kɔl at atak .
Lɛ wi luk sɔm ɔda mɛdikal kɔndishɔn dɛm wae kin gɛt fɔ du wit di prɔblɛm dɛm wae dis CPP kin kam dɔŋ ya.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Koronari Atɛri Sik we pɔsin kin gɛt | di bכdi vεsul dεm (atεri dεm) we de kכri bכdi go na di at kin sכmtεm we di kכlestכl de dכn, we kin mek di bכdi fכ fכlכ εn afekt CPP. |
| At we nɔ de wok fayn | Di at nɔ kin ebul fɔ pɔmp inof blɔd fɔ mit di bɔdi in nid. insay dis kכndishכn, di prεshכn insay di at kin inkrεs εn di CPP kin dכn. |
| Shok we de mek pɔsin in at | Na imejensi we kin mek pɔsin in layf de pan denja we di at nɔ kin ebul fɔ pɔmp inof blɔd to di bɔdi bikɔs i dɔn pwɛl di at (bɔku tɛm afta i gɛt siriɔs at atak). Insay dis kes, di CPP valyu de drɔp to wan rili lɔw lɛvɛl. |
| Koronari Atɛri Spasm | Di blɔd vesel dɛn we de na di at kin tayt (narrowing) wantɛm wantɛm, we kin mek di blɔd nɔ flɔ fɔ sɔm tɛm. Dis kin mek bak di chɛst pen ɛn di CPP kin go dɔŋ. |
Situeshɔn dɛn usay prɔblɛm wit CPP kin apin mɔ
Yu kin gɛt prɔblɛm wit CPP if yu dɔn ɔlrɛdi gɛt at sik, ɔ if yu at nid mɔ ɔksijɛn. Fɔ ɛgzampul:
- We yu de du ɛksɛsayz ɔ du wok we yu de du tranga wan
- We yu de ɔnda siriɔs strɛs
- Afta yu dɔn it gud it (bikɔs dɛn nid blɔd fɔ dayjɛst it) .
- We dɛn put am na say we kol
Aw dɔktɔ dɛn kin mɛzhɔ dis prɛshɔn?
Dis na di tin we impɔtant pas ɔl. Yu dɔktɔ nɔ de mɛzhɔ dis CPP lɛk aw yu kin mɛzhɔ yu blɔd prɛshɔn we yu go na di klinik. I nid spɛshal we fɔ mɛzhɔ am. Dɔn bak, dɛn kin jɔs mɛzhɔ am we dɛn tink se pɔsin gɛt at prɔblɛm ɔ we dɛn de du sɔntin we gɛt fɔ du wit di at, lɛk ɔpreshɔn pan di at.
Dɛn kin kɔl di CPP bay we dɛn tek tu mɛzhɔmɛnt ɛn pul wan pan di ɔda wan. Dat min se wan simpul fɔmula de:
CPP = ADP - LVEDP
Naw lɛ wi si wetin dɛn lɛta ya se.
| Mɛzhɔmɛnt (mɛdikal nem) . | Wetin dis min? (Simply) |
|---|---|
| Aɔtik Dayastolik Prɛshɔn (ADP) . | Dis na sɔntin we yu no. Di smɔl wan pan di tu valyu dɛn we dɛn kin gɛt we dɛn de mɛzhɔ yu nɔmal blɔd prɛshɔn. fכ egzampl, if yu blכd prεshכn na 120/80, di ADP ya go bi 80. Dis de tכk bכt di prεshכn na di aorta we di at de rεst bitwin di bit dεm. |
| Lεft Vεntrikul εnd-Dayastolik Prεshכn (LVEDP) . | Dis na tin we kɔmplikt smɔl. i de mכsu di prεshכn insay di at in men pכmp chεmba (di Lεft Vεntrikl) bitwin di bit dεm (i.e., we i fulכp wit bכdi, bifo i pכmp). No standad we nɔ de fɔ mɛzhɔ dis. Dɛn nid fɔ du spɛshal tɛst lɛk fɔ put kateshɔn na di at . |
Lɛ wi ɔndastand wit wan ɛgzampul.
Imajin se sɔmbɔdi in ADP (lɔwa sistolik blɔd prɛshɔn) na 80 mm Hg. lε wi se dεn fכnshכn se dεn LVEDP (prεshכn insay di at) na 20 mm Hg tru wan spεshal tεst.
Dɔn in CPP go bi:
CPP = 80 - 20 = 60 mm Hg
Dɔktɔ dɛn kin luk dis valyu fɔ no if di at de gɛt inof blɔd ɔ if ɛni prɔblɛm de.
Mɛmba se dis nɔto sɔntin we wi kin mɛzhɔ we wi de go na di chanɛl. Dɛn kin jɔs mɛzhɔ dis we dɛn de du spɛshal tɛst ɔ ɔpreshɔn we gɛt fɔ du wit at. So yu nɔ nid fɔ wɔri bɔt dis.
Wi at ɛn di say we wi de blɔd blɔd na wan we we rili kɔmpleks ɛn we wɔndaful. Koronari Pεrfyushכn Prεshכn (CPP) na jכs wan imכtant pat pan da sistεm de. If yu gɛt at sik, ɔ if pɔsin na yu famili gɛt dis sik, yu dɔktɔ kin yuz wɔd dɛn lɛk dis.
Na dɛn kayn tɛm ya, nɔ fred fɔ aks se, "A nɔ ɔndastand, dɔktɔ. Yu kin ɛksplen am simpul wan bak?" Na di dɔktɔ we de trit yu fɔ ɛksplen yu bɔdi ɛn yu mɛrɛsin to yu klia wan. Yu gɛt ɔl di rayt fɔ aks kwɛstyɔn.
Mɛsej we dɛn kin kɛr go na os
- Koronari pεrfyushכn prεshכn (CPP) na jכs di prεshכn we de push blכd we gεt כksijεn insay yu at mכsul.
- Bikɔs wi at nid bɔku ɔksijɛn fɔ kɔntinyu fɔ wok, i rili impɔtant fɔ mek dis prɛshɔn de na wɛlbɔdi lɛvɛl.
- If dis prɛshɔn go dɔŋ, di at nɔ kin gɛt inof ɔksijɛn (Myocardial Ischemia) ɛn siriɔs tin dɛn lɛk at atak kin apin.
- Dis nɔto sɔntin we dɛn kin mɛzhɔ bɔku tɛm lɛk aw dɛn kin mɛzhɔ di blɔd prɛshɔn ɔltɛm. Dɛn kin jɔs mɛzhɔ am we dɛn de du sɔm patikyula mɛdikal tɛst ɔ ɔpreshɔn dɛn we gɛt fɔ du wit at.
- If dɛn de trit yu fɔ wan at sik, nɔ ɛva shek fɔ aks yu dɔktɔ fɔ mek i klarify ɛni mɛrɛsin we yu nɔ ɔndastand.
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